Transient functional improvements in advanced Alzheimer's disease following high-dose psilocybin: a case report
By
Marcos Lago, Mariana Cerveira, Joe Xavier Simonet
Summary
This case report describes an 80-year-old Japanese-American woman with advanced Alzheimer's disease (10-year history, 5 years of severe hypofunction and monosyllabic speech) who received a high dose of psilocybin-containing mushrooms. The treatment resulted in transient but notable multidomain functional improvements, including increased verbal fluency, improved emotional expression, enhanced mobility, and regained ability to perform daily activities. The improvements lasted approximately 3-4 weeks before gradually returning to baseline. The case suggests that psilocybin may transiently alter brain network dynamics and induce plasticity-related mechanisms even in advanced neurodegenerative disease, challenging the assumption of irreversible decline in late-stage Alzheimer's.
Source
Key quotes
· 5 pulledAdvanced Alzheimer's disease is generally regarded as a stage of irreversible functional decline.
The patient demonstrated increased verbal fluency, improved emotional expression, enhanced mobility, and regained ability to perform daily activities.
The improvements lasted approximately 3-4 weeks before gradually returning to baseline.
Psilocybin is known to transiently alter large-scale brain network dynamics and to induce plasticity-related mechanisms in preclinical models.
This case challenges the assumption of irreversible decline in late-stage Alzheimer's disease.
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